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VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 401k Plan overview

Plan NameVIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN
Plan identification number 001

VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

VIRGINIA GARCIA MEMORIAL HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name:VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Employer identification number (EIN):930717997
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 1978-07-31
Company Identification Number: 13014915
Legal Registered Office Address: 3305 NW ALOCLEK DR

HILLSBORO
United States of America (USA)
97124

More information about VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-04-01ARACELI GAYTAN2024-01-11
0012021-04-01ARACELI GAYTAN2023-01-16
0012020-04-01ARACELI GAYTAN2022-01-10
0012019-04-01ARACELI GAYTAN2021-01-10
0012019-04-01ARACELI GAYTAN2021-01-10
0012018-04-01ARACELI GAYTAN2020-01-12
0012017-04-01
0012016-04-01ARACELI GAYTAJ ARACELI GAYTAJ2017-10-06
0012015-04-01ARACELI GAYTAN ARACELI GAYTAN2016-10-26
0012014-04-01ARACELI GAYTAN ARACELI GAYTAN2016-01-08
0012013-04-01ARACELI GAYTAN ARACELI GAYTAN2014-10-02
0012012-04-01ARACELI GAYTAN ARACELI GAYTAN2014-01-07
0012011-04-01ARACELI GAYTAN ARACELI GAYTAN2012-11-20
0012009-04-01ARACELI GAYTAN ARACELI GAYTAN2011-01-11
0012009-04-01ARACELI GAYTAN ARACELI GAYTAN2011-07-22
0012009-04-01ARACELI GAYTAN ARACELI GAYTAN2011-07-26
0012009-04-01ARACELI GAYTAN ARACELI GAYTAN2011-07-15

Plan Statistics for VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN

401k plan membership statisitcs for VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN

Measure Date Value
2022: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01757
Total number of active participants reported on line 7a of the Form 55002022-04-01661
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-01163
Total of all active and inactive participants2022-04-01824
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-04-010
Total participants2022-04-01824
Number of participants with account balances2022-04-01670
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-04-010
2021: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01722
Total number of active participants reported on line 7a of the Form 55002021-04-01606
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-01151
Total of all active and inactive participants2021-04-01757
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-04-010
Total participants2021-04-01757
Number of participants with account balances2021-04-01672
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-04-010
2020: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01711
Total number of active participants reported on line 7a of the Form 55002020-04-01594
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-01128
Total of all active and inactive participants2020-04-01722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-04-010
Total participants2020-04-01722
Number of participants with account balances2020-04-01632
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-04-010
2019: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01707
Total number of active participants reported on line 7a of the Form 55002019-04-01578
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-01133
Total of all active and inactive participants2019-04-01711
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-04-010
Total participants2019-04-01711
Number of participants with account balances2019-04-01636
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-04-010
2018: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01690
Total number of active participants reported on line 7a of the Form 55002018-04-01632
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-0174
Total of all active and inactive participants2018-04-01706
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-04-010
Total participants2018-04-01706
Number of participants with account balances2018-04-01594
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-04-010
2017: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01578
Total number of active participants reported on line 7a of the Form 55002017-04-01614
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-0176
Total of all active and inactive participants2017-04-01690
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-01690
Number of participants with account balances2017-04-01570
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-04-010
2016: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01544
Total number of active participants reported on line 7a of the Form 55002016-04-01541
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-0136
Total of all active and inactive participants2016-04-01577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-011
Total participants2016-04-01578
Number of participants with account balances2016-04-01489
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01516
Total number of active participants reported on line 7a of the Form 55002015-04-01440
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-0132
Total of all active and inactive participants2015-04-01472
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-011
Total participants2015-04-01473
Number of participants with account balances2015-04-01358
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010
2014: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01412
Total number of active participants reported on line 7a of the Form 55002014-04-01417
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-0126
Total of all active and inactive participants2014-04-01443
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-011
Total participants2014-04-01444
Number of participants with account balances2014-04-01314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-010
2013: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01372
Total number of active participants reported on line 7a of the Form 55002013-04-01357
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-0128
Total of all active and inactive participants2013-04-01385
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-011
Total participants2013-04-01386
Number of participants with account balances2013-04-01306
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-010
2012: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01353
Total number of active participants reported on line 7a of the Form 55002012-04-01325
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-0119
Total of all active and inactive participants2012-04-01344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-011
Total participants2012-04-01345
Number of participants with account balances2012-04-01281
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-010
2011: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01325
Total number of active participants reported on line 7a of the Form 55002011-04-01326
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-0123
Total of all active and inactive participants2011-04-01349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-012
Total participants2011-04-01351
Number of participants with account balances2011-04-01273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
2009: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01291
Total number of active participants reported on line 7a of the Form 55002009-04-01298
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-0147
Total of all active and inactive participants2009-04-01345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-01345
Number of participants with account balances2009-04-01223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Financial Data on VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN

Measure Date Value
2023 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$0
Total income from all sources (including contributions)2023-03-31$3,166,843
Total loss/gain on sale of assets2023-03-31$0
Total of all expenses incurred2023-03-31$1,529,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$1,411,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$5,038,033
Value of total assets at end of year2023-03-31$35,148,042
Value of total assets at beginning of year2023-03-31$33,510,556
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$117,796
Total interest from all sources2023-03-31$79,601
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$500,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$2,656,183
Participant contributions at end of year2023-03-31$475,759
Participant contributions at beginning of year2023-03-31$405,149
Income. Received or receivable in cash from other sources (including rollovers)2023-03-31$767,504
Total non interest bearing cash at end of year2023-03-31$4
Total non interest bearing cash at beginning of year2023-03-31$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$1,637,486
Value of net assets at end of year (total assets less liabilities)2023-03-31$35,148,042
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$33,510,556
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-03-31$32,216,906
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-03-31$30,373,860
Interest on participant loans2023-03-31$18,413
Interest earned on other investments2023-03-31$61,188
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-03-31$2,455,373
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-03-31$2,731,544
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-03-31$-1,950,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31Yes
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$1,614,346
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$1,411,561
Contract administrator fees2023-03-31$117,796
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31HOFFMAN , STEWART & SCHMIDT P.C.
Accountancy firm EIN2023-03-31930743240
2022 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$0
Total income from all sources (including contributions)2022-03-31$4,827,226
Total loss/gain on sale of assets2022-03-31$0
Total of all expenses incurred2022-03-31$1,338,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$1,213,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$3,783,179
Value of total assets at end of year2022-03-31$33,510,556
Value of total assets at beginning of year2022-03-31$30,021,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$125,044
Total interest from all sources2022-03-31$72,609
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$1,722,081
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-03-31$1,722,081
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$500,000
If this is an individual account plan, was there a blackout period2022-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2022-03-31$0
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$2,229,766
Participant contributions at end of year2022-03-31$405,149
Participant contributions at beginning of year2022-03-31$424,343
Income. Received or receivable in cash from other sources (including rollovers)2022-03-31$79,773
Total non interest bearing cash at end of year2022-03-31$3
Total non interest bearing cash at beginning of year2022-03-31$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$3,488,718
Value of net assets at end of year (total assets less liabilities)2022-03-31$33,510,556
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$30,021,838
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-03-31$30,373,860
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-03-31$26,330,187
Interest on participant loans2022-03-31$15,625
Interest earned on other investments2022-03-31$56,984
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-03-31$2,731,544
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-03-31$3,267,306
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-03-31$-750,643
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31Yes
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$1,473,640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-31$1,213,464
Contract administrator fees2022-03-31$125,044
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31HOFFMAN, STEWART & SCHMIDT P.C.
Accountancy firm EIN2022-03-31930743240
2021 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$0
Total income from all sources (including contributions)2021-03-31$11,269,511
Total loss/gain on sale of assets2021-03-31$0
Total of all expenses incurred2021-03-31$1,587,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$1,473,765
Expenses. Certain deemed distributions of participant loans2021-03-31$12,918
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$3,451,454
Value of total assets at end of year2021-03-31$30,021,838
Value of total assets at beginning of year2021-03-31$20,339,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$100,355
Total interest from all sources2021-03-31$94,779
Total dividends received (eg from common stock, registered investment company shares)2021-03-31$1,051,444
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-03-31$1,051,444
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$500,000
If this is an individual account plan, was there a blackout period2021-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-03-31$0
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$2,099,744
Participant contributions at end of year2021-03-31$424,343
Participant contributions at beginning of year2021-03-31$501,859
Income. Received or receivable in cash from other sources (including rollovers)2021-03-31$29,670
Total non interest bearing cash at end of year2021-03-31$2
Total non interest bearing cash at beginning of year2021-03-31$10,904
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Income. Non cash contributions2021-03-31$0
Value of net income/loss2021-03-31$9,682,473
Value of net assets at end of year (total assets less liabilities)2021-03-31$30,021,838
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$20,339,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-03-31$26,330,187
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-03-31$16,869,556
Interest on participant loans2021-03-31$20,758
Interest earned on other investments2021-03-31$74,021
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-03-31$3,267,306
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-03-31$2,957,046
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-03-31$6,671,834
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31Yes
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$1,322,040
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-31$1,473,765
Contract administrator fees2021-03-31$100,355
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Unqualified
Accountancy firm name2021-03-31HOFFMAN, STEWART & SCHMIDT P.C.
Accountancy firm EIN2021-03-31930743240
2020 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$0
Total income from all sources (including contributions)2020-03-31$2,081,521
Total loss/gain on sale of assets2020-03-31$0
Total of all expenses incurred2020-03-31$1,425,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$1,339,602
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$3,513,008
Value of total assets at end of year2020-03-31$20,339,365
Value of total assets at beginning of year2020-03-31$19,683,005
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$85,559
Total interest from all sources2020-03-31$93,884
Total dividends received (eg from common stock, registered investment company shares)2020-03-31$1,067,958
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-03-31$1,067,958
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$500,000
If this is an individual account plan, was there a blackout period2020-03-31No
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Contributions received from participants2020-03-31$2,088,221
Participant contributions at end of year2020-03-31$501,859
Participant contributions at beginning of year2020-03-31$396,972
Income. Received or receivable in cash from other sources (including rollovers)2020-03-31$129,602
Total non interest bearing cash at end of year2020-03-31$10,904
Total non interest bearing cash at beginning of year2020-03-31$713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$656,360
Value of net assets at end of year (total assets less liabilities)2020-03-31$20,339,365
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$19,683,005
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Investment advisory and management fees2020-03-31$40,882
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-03-31$16,869,556
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-03-31$16,552,477
Interest on participant loans2020-03-31$21,353
Interest earned on other investments2020-03-31$72,531
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-03-31$2,957,046
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-03-31$2,732,843
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-03-31$-2,593,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31No
Was there a failure to transmit to the plan any participant contributions2020-03-31Yes
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$1,295,185
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-03-31$1,339,602
Contract administrator fees2020-03-31$44,677
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31Yes
Opinion of an independent qualified public accountant for this plan2020-03-31Disclaimer
Accountancy firm name2020-03-31HOFFMAN, STEWART & SCHMIDT P.C.
Accountancy firm EIN2020-03-31930743240
2019 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-03-31$0
Total income from all sources (including contributions)2019-03-31$4,187,220
Total loss/gain on sale of assets2019-03-31$0
Total of all expenses incurred2019-03-31$1,659,187
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-03-31$1,580,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-03-31$3,381,804
Value of total assets at end of year2019-03-31$19,683,005
Value of total assets at beginning of year2019-03-31$17,154,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-03-31$78,809
Total interest from all sources2019-03-31$94,260
Total dividends received (eg from common stock, registered investment company shares)2019-03-31$822,334
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-03-31$822,334
Was this plan covered by a fidelity bond2019-03-31Yes
Value of fidelity bond cover2019-03-31$500,000
If this is an individual account plan, was there a blackout period2019-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-03-31$0
Were there any nonexempt tranactions with any party-in-interest2019-03-31No
Contributions received from participants2019-03-31$1,845,391
Participant contributions at end of year2019-03-31$396,972
Participant contributions at beginning of year2019-03-31$293,500
Income. Received or receivable in cash from other sources (including rollovers)2019-03-31$450,926
Total non interest bearing cash at end of year2019-03-31$713
Total non interest bearing cash at beginning of year2019-03-31$109,250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Value of net income/loss2019-03-31$2,528,033
Value of net assets at end of year (total assets less liabilities)2019-03-31$19,683,005
Value of net assets at beginning of year (total assets less liabilities)2019-03-31$17,154,972
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-03-31No
Were any leases to which the plan was party in default or uncollectible2019-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-03-31$16,552,477
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-03-31$13,615,973
Interest on participant loans2019-03-31$13,884
Interest earned on other investments2019-03-31$80,376
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-03-31$2,732,843
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-03-31$3,136,249
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-03-31$-111,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-03-31No
Was there a failure to transmit to the plan any participant contributions2019-03-31Yes
Has the plan failed to provide any benefit when due under the plan2019-03-31No
Contributions received in cash from employer2019-03-31$1,085,487
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-03-31$1,580,378
Contract administrator fees2019-03-31$78,809
Did the plan have assets held for investment2019-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-03-31Yes
Opinion of an independent qualified public accountant for this plan2019-03-31Disclaimer
Accountancy firm name2019-03-31HOFFMAN, STEWART & SCHMIDT, P.C.
Accountancy firm EIN2019-03-31930743240
2018 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$0
Total income from all sources (including contributions)2018-03-31$3,764,309
Total loss/gain on sale of assets2018-03-31$0
Total of all expenses incurred2018-03-31$840,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-03-31$805,861
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-03-31$2,359,649
Value of total assets at end of year2018-03-31$17,154,972
Value of total assets at beginning of year2018-03-31$14,231,057
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-03-31$34,533
Total interest from all sources2018-03-31$126,943
Total dividends received (eg from common stock, registered investment company shares)2018-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-03-31No
Was this plan covered by a fidelity bond2018-03-31Yes
Value of fidelity bond cover2018-03-31$500,000
If this is an individual account plan, was there a blackout period2018-03-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-03-31$0
Were there any nonexempt tranactions with any party-in-interest2018-03-31No
Contributions received from participants2018-03-31$1,430,727
Participant contributions at end of year2018-03-31$293,500
Participant contributions at beginning of year2018-03-31$158,606
Income. Received or receivable in cash from other sources (including rollovers)2018-03-31$20,844
Total non interest bearing cash at end of year2018-03-31$109,250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Value of net income/loss2018-03-31$2,923,915
Value of net assets at end of year (total assets less liabilities)2018-03-31$17,154,972
Value of net assets at beginning of year (total assets less liabilities)2018-03-31$14,231,057
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-03-31No
Were any leases to which the plan was party in default or uncollectible2018-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-03-31$13,615,973
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-03-31$11,003,166
Interest on participant loans2018-03-31$7,485
Interest earned on other investments2018-03-31$119,458
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-03-31$3,136,249
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-03-31$3,069,285
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-03-31$1,277,717
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-03-31No
Was there a failure to transmit to the plan any participant contributions2018-03-31No
Has the plan failed to provide any benefit when due under the plan2018-03-31No
Contributions received in cash from employer2018-03-31$908,078
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-03-31$805,861
Contract administrator fees2018-03-31$34,533
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-03-31Yes
Did the plan have assets held for investment2018-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-03-31Yes
Opinion of an independent qualified public accountant for this plan2018-03-31Disclaimer
Accountancy firm name2018-03-31HOFFMAN, STEWART & SCHMIDT, P.C.
Accountancy firm EIN2018-03-31930743240
2017 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-03-31$0
Total unrealized appreciation/depreciation of assets2017-03-31$0
Total transfer of assets to this plan2017-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Total income from all sources (including contributions)2017-03-31$3,395,178
Total loss/gain on sale of assets2017-03-31$0
Total of all expenses incurred2017-03-31$909,857
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$883,033
Expenses. Certain deemed distributions of participant loans2017-03-31$0
Value of total corrective distributions2017-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$2,126,841
Value of total assets at end of year2017-03-31$14,231,057
Value of total assets at beginning of year2017-03-31$11,745,736
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$26,824
Total income from rents2017-03-31$0
Total interest from all sources2017-03-31$68,631
Total dividends received (eg from common stock, registered investment company shares)2017-03-31$140,446
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-03-31$140,446
Administrative expenses professional fees incurred2017-03-31$0
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$500,000
If this is an individual account plan, was there a blackout period2017-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-03-31$0
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Amount of non-exempt transactions with any party-in-interest2017-03-31$0
Contributions received from participants2017-03-31$1,218,776
Participant contributions at end of year2017-03-31$158,606
Participant contributions at beginning of year2017-03-31$172,842
Participant contributions at end of year2017-03-31$0
Participant contributions at beginning of year2017-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-03-31$153,739
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-03-31$0
Other income not declared elsewhere2017-03-31$1
Administrative expenses (other) incurred2017-03-31$0
Liabilities. Value of operating payables at beginning of year2017-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Value of net income/loss2017-03-31$2,485,321
Value of net assets at end of year (total assets less liabilities)2017-03-31$14,231,057
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$11,745,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2017-03-31$0
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2017-03-31$0
Investment advisory and management fees2017-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-03-31$11,003,166
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-03-31$8,877,350
Interest on participant loans2017-03-31$6,603
Income. Interest from loans (other than to participants)2017-03-31$0
Interest earned on other investments2017-03-31$62,028
Income. Interest from US Government securities2017-03-31$0
Income. Interest from corporate debt instruments2017-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-03-31$3,069,285
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-03-31$2,695,544
Expenses. Payments to insurance carriers foe the provision of benefits2017-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-03-31$1,059,259
Net investment gain/loss from pooled separate accounts2017-03-31$0
Net investment gain or loss from common/collective trusts2017-03-31$0
Net gain/loss from 103.12 investment entities2017-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31No
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Contributions received in cash from employer2017-03-31$754,326
Employer contributions (assets) at end of year2017-03-31$0
Employer contributions (assets) at beginning of year2017-03-31$0
Income. Dividends from preferred stock2017-03-31$0
Income. Dividends from common stock2017-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-03-31$883,033
Contract administrator fees2017-03-31$26,824
Liabilities. Value of benefit claims payable at beginning of year2017-03-31$0
Did the plan have assets held for investment2017-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31No
Aggregate proceeds on sale of assets2017-03-31$0
Aggregate carrying amount (costs) on sale of assets2017-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31Yes
Opinion of an independent qualified public accountant for this plan2017-03-31Disclaimer
Accountancy firm name2017-03-31HOFFMAN, STUART & SCHMIDT
Accountancy firm EIN2017-03-31930743240
2016 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-03-31$0
Total unrealized appreciation/depreciation of assets2016-03-31$0
Total transfer of assets to this plan2016-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$0
Total income from all sources (including contributions)2016-03-31$1,447,168
Total loss/gain on sale of assets2016-03-31$0
Total of all expenses incurred2016-03-31$927,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$906,137
Expenses. Certain deemed distributions of participant loans2016-03-31$0
Value of total corrective distributions2016-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$1,571,869
Value of total assets at end of year2016-03-31$11,745,736
Value of total assets at beginning of year2016-03-31$11,226,322
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$21,617
Total income from rents2016-03-31$0
Total interest from all sources2016-03-31$71,807
Total dividends received (eg from common stock, registered investment company shares)2016-03-31$123,773
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-03-31$123,773
Administrative expenses professional fees incurred2016-03-31$0
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$500,000
If this is an individual account plan, was there a blackout period2016-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-31$0
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Amount of non-exempt transactions with any party-in-interest2016-03-31$0
Contributions received from participants2016-03-31$1,008,718
Participant contributions at end of year2016-03-31$172,842
Participant contributions at beginning of year2016-03-31$201,525
Participant contributions at end of year2016-03-31$0
Participant contributions at beginning of year2016-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-03-31$20,856
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-03-31$0
Other income not declared elsewhere2016-03-31$0
Administrative expenses (other) incurred2016-03-31$0
Liabilities. Value of operating payables at beginning of year2016-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$519,414
Value of net assets at end of year (total assets less liabilities)2016-03-31$11,745,736
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$11,226,322
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2016-03-31$0
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2016-03-31$0
Investment advisory and management fees2016-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-03-31$8,877,350
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-03-31$8,220,161
Interest on participant loans2016-03-31$6,760
Income. Interest from loans (other than to participants)2016-03-31$0
Interest earned on other investments2016-03-31$65,047
Income. Interest from US Government securities2016-03-31$0
Income. Interest from corporate debt instruments2016-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-03-31$2,695,544
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-03-31$2,804,636
Expenses. Payments to insurance carriers foe the provision of benefits2016-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-03-31$-320,281
Net investment gain/loss from pooled separate accounts2016-03-31$0
Net investment gain or loss from common/collective trusts2016-03-31$0
Net gain/loss from 103.12 investment entities2016-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31No
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$542,295
Employer contributions (assets) at end of year2016-03-31$0
Employer contributions (assets) at beginning of year2016-03-31$0
Income. Dividends from preferred stock2016-03-31$0
Income. Dividends from common stock2016-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$906,137
Contract administrator fees2016-03-31$21,617
Liabilities. Value of benefit claims payable at beginning of year2016-03-31$0
Did the plan have assets held for investment2016-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Aggregate proceeds on sale of assets2016-03-31$0
Aggregate carrying amount (costs) on sale of assets2016-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31Yes
Opinion of an independent qualified public accountant for this plan2016-03-31Disclaimer
Accountancy firm name2016-03-31HAFFMAN, STEWART AND SCHMIDT, PC
Accountancy firm EIN2016-03-31930743240
2015 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-03-31$0
Total unrealized appreciation/depreciation of assets2015-03-31$0
Total transfer of assets to this plan2015-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Total income from all sources (including contributions)2015-03-31$2,026,054
Total loss/gain on sale of assets2015-03-31$0
Total of all expenses incurred2015-03-31$549,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$528,628
Expenses. Certain deemed distributions of participant loans2015-03-31$0
Value of total corrective distributions2015-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$1,320,298
Value of total assets at end of year2015-03-31$11,226,322
Value of total assets at beginning of year2015-03-31$9,749,944
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$21,048
Total income from rents2015-03-31$0
Total interest from all sources2015-03-31$81,216
Total dividends received (eg from common stock, registered investment company shares)2015-03-31$122,448
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-03-31$122,448
Administrative expenses professional fees incurred2015-03-31$0
Was this plan covered by a fidelity bond2015-03-31No
Value of fidelity bond cover2015-03-31$0
If this is an individual account plan, was there a blackout period2015-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Amount of non-exempt transactions with any party-in-interest2015-03-31$0
Contributions received from participants2015-03-31$824,453
Participant contributions at end of year2015-03-31$201,525
Participant contributions at beginning of year2015-03-31$158,091
Participant contributions at end of year2015-03-31$0
Participant contributions at beginning of year2015-03-31$31,484
Income. Received or receivable in cash from other sources (including rollovers)2015-03-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-03-31$0
Other income not declared elsewhere2015-03-31$20
Administrative expenses (other) incurred2015-03-31$0
Liabilities. Value of operating payables at beginning of year2015-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Value of net income/loss2015-03-31$1,476,378
Value of net assets at end of year (total assets less liabilities)2015-03-31$11,226,322
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$9,749,944
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2015-03-31$0
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2015-03-31$0
Investment advisory and management fees2015-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-03-31$8,220,161
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-03-31$6,843,774
Interest on participant loans2015-03-31$7,293
Income. Interest from loans (other than to participants)2015-03-31$0
Interest earned on other investments2015-03-31$73,923
Income. Interest from US Government securities2015-03-31$0
Income. Interest from corporate debt instruments2015-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-03-31$2,804,636
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-03-31$2,698,434
Expenses. Payments to insurance carriers foe the provision of benefits2015-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-03-31$502,072
Net investment gain/loss from pooled separate accounts2015-03-31$0
Net investment gain or loss from common/collective trusts2015-03-31$0
Net gain/loss from 103.12 investment entities2015-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31No
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$495,845
Employer contributions (assets) at end of year2015-03-31$0
Employer contributions (assets) at beginning of year2015-03-31$18,161
Income. Dividends from preferred stock2015-03-31$0
Income. Dividends from common stock2015-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$528,628
Contract administrator fees2015-03-31$21,048
Liabilities. Value of benefit claims payable at beginning of year2015-03-31$0
Did the plan have assets held for investment2015-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Aggregate proceeds on sale of assets2015-03-31$0
Aggregate carrying amount (costs) on sale of assets2015-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31Yes
Opinion of an independent qualified public accountant for this plan2015-03-31Disclaimer
Accountancy firm name2015-03-31HOFFMAN, STEWART & SCHMIDT, P.C.
Accountancy firm EIN2015-03-31930743240
2014 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-03-31$0
Total unrealized appreciation/depreciation of assets2014-03-31$0
Total transfer of assets to this plan2014-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total income from all sources (including contributions)2014-03-31$2,071,410
Total loss/gain on sale of assets2014-03-31$0
Total of all expenses incurred2014-03-31$530,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$514,122
Expenses. Certain deemed distributions of participant loans2014-03-31$0
Value of total corrective distributions2014-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$1,175,001
Value of total assets at end of year2014-03-31$9,749,944
Value of total assets at beginning of year2014-03-31$8,209,353
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$16,697
Total income from rents2014-03-31$0
Total interest from all sources2014-03-31$83,382
Total dividends received (eg from common stock, registered investment company shares)2014-03-31$84,996
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-03-31$84,996
Administrative expenses professional fees incurred2014-03-31$0
Was this plan covered by a fidelity bond2014-03-31No
Value of fidelity bond cover2014-03-31$0
If this is an individual account plan, was there a blackout period2014-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Amount of non-exempt transactions with any party-in-interest2014-03-31$0
Contributions received from participants2014-03-31$709,516
Participant contributions at end of year2014-03-31$158,091
Participant contributions at beginning of year2014-03-31$137,094
Participant contributions at end of year2014-03-31$31,484
Participant contributions at beginning of year2014-03-31$23,203
Income. Received or receivable in cash from other sources (including rollovers)2014-03-31$28,589
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-03-31$0
Other income not declared elsewhere2014-03-31$0
Administrative expenses (other) incurred2014-03-31$0
Liabilities. Value of operating payables at beginning of year2014-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Value of net income/loss2014-03-31$1,540,591
Value of net assets at end of year (total assets less liabilities)2014-03-31$9,749,944
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$8,209,353
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2014-03-31$0
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2014-03-31$0
Investment advisory and management fees2014-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-03-31$6,843,774
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-03-31$5,548,508
Interest on participant loans2014-03-31$6,735
Income. Interest from loans (other than to participants)2014-03-31$0
Interest earned on other investments2014-03-31$76,647
Income. Interest from US Government securities2014-03-31$0
Income. Interest from corporate debt instruments2014-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-03-31$2,698,434
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-03-31$2,485,818
Expenses. Payments to insurance carriers foe the provision of benefits2014-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-03-31$728,031
Net investment gain/loss from pooled separate accounts2014-03-31$0
Net investment gain or loss from common/collective trusts2014-03-31$0
Net gain/loss from 103.12 investment entities2014-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31Yes
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$436,896
Employer contributions (assets) at end of year2014-03-31$18,161
Employer contributions (assets) at beginning of year2014-03-31$14,730
Income. Dividends from preferred stock2014-03-31$0
Income. Dividends from common stock2014-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$514,122
Contract administrator fees2014-03-31$16,697
Liabilities. Value of benefit claims payable at beginning of year2014-03-31$0
Did the plan have assets held for investment2014-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Aggregate proceeds on sale of assets2014-03-31$0
Aggregate carrying amount (costs) on sale of assets2014-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31Yes
Opinion of an independent qualified public accountant for this plan2014-03-31Disclaimer
Accountancy firm name2014-03-31HOFFMAN STEWART & SCHMIDT
Accountancy firm EIN2014-03-31930743240
2013 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-03-31$0
Total unrealized appreciation/depreciation of assets2013-03-31$0
Total transfer of assets to this plan2013-03-31$0
Total transfer of assets from this plan2013-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$0
Total income from all sources (including contributions)2013-03-31$1,574,199
Total loss/gain on sale of assets2013-03-31$0
Total of all expenses incurred2013-03-31$309,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$296,645
Expenses. Certain deemed distributions of participant loans2013-03-31$0
Value of total corrective distributions2013-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$999,446
Value of total assets at end of year2013-03-31$8,209,353
Value of total assets at beginning of year2013-03-31$6,944,301
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$12,502
Total income from rents2013-03-31$0
Total interest from all sources2013-03-31$76,703
Total dividends received (eg from common stock, registered investment company shares)2013-03-31$86,039
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-03-31$86,039
Administrative expenses professional fees incurred2013-03-31$0
Was this plan covered by a fidelity bond2013-03-31No
Value of fidelity bond cover2013-03-31$0
If this is an individual account plan, was there a blackout period2013-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Amount of non-exempt transactions with any party-in-interest2013-03-31$0
Contributions received from participants2013-03-31$627,528
Participant contributions at end of year2013-03-31$137,094
Participant contributions at beginning of year2013-03-31$109,564
Participant contributions at end of year2013-03-31$23,203
Participant contributions at beginning of year2013-03-31$23,920
Income. Received or receivable in cash from other sources (including rollovers)2013-03-31$1,831
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-03-31$0
Other income not declared elsewhere2013-03-31$114
Administrative expenses (other) incurred2013-03-31$0
Liabilities. Value of operating payables at beginning of year2013-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Value of net income/loss2013-03-31$1,265,052
Value of net assets at end of year (total assets less liabilities)2013-03-31$8,209,353
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$6,944,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2013-03-31$0
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2013-03-31$0
Investment advisory and management fees2013-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-03-31$5,548,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-03-31$4,527,165
Interest on participant loans2013-03-31$5,321
Income. Interest from loans (other than to participants)2013-03-31$0
Interest earned on other investments2013-03-31$71,382
Income. Interest from US Government securities2013-03-31$0
Income. Interest from corporate debt instruments2013-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-03-31$2,485,818
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-03-31$2,270,442
Expenses. Payments to insurance carriers foe the provision of benefits2013-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-03-31$411,897
Net investment gain/loss from pooled separate accounts2013-03-31$0
Net investment gain or loss from common/collective trusts2013-03-31$0
Net gain/loss from 103.12 investment entities2013-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31No
Was there a failure to transmit to the plan any participant contributions2013-03-31Yes
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$370,087
Employer contributions (assets) at end of year2013-03-31$14,730
Employer contributions (assets) at beginning of year2013-03-31$13,210
Income. Dividends from preferred stock2013-03-31$0
Income. Dividends from common stock2013-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$296,645
Contract administrator fees2013-03-31$12,502
Liabilities. Value of benefit claims payable at beginning of year2013-03-31$0
Did the plan have assets held for investment2013-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Aggregate proceeds on sale of assets2013-03-31$0
Aggregate carrying amount (costs) on sale of assets2013-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31Yes
Opinion of an independent qualified public accountant for this plan2013-03-31Disclaimer
Accountancy firm name2013-03-31HOFFMAN, STEWART & SCHMIDT, P.C.
Accountancy firm EIN2013-03-31930743240
2012 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-03-31$0
Total unrealized appreciation/depreciation of assets2012-03-31$0
Total transfer of assets to this plan2012-03-31$0
Total transfer of assets from this plan2012-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$0
Total income from all sources (including contributions)2012-03-31$1,250,459
Total loss/gain on sale of assets2012-03-31$0
Total of all expenses incurred2012-03-31$407,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$395,532
Expenses. Certain deemed distributions of participant loans2012-03-31$0
Value of total corrective distributions2012-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$1,024,207
Value of total assets at end of year2012-03-31$6,944,301
Value of total assets at beginning of year2012-03-31$6,101,629
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$12,255
Total income from rents2012-03-31$0
Total interest from all sources2012-03-31$65,550
Total dividends received (eg from common stock, registered investment company shares)2012-03-31$66,238
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-03-31$66,238
Administrative expenses professional fees incurred2012-03-31$0
Was this plan covered by a fidelity bond2012-03-31No
Value of fidelity bond cover2012-03-31$0
If this is an individual account plan, was there a blackout period2012-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Amount of non-exempt transactions with any party-in-interest2012-03-31$0
Contributions received from participants2012-03-31$622,892
Participant contributions at end of year2012-03-31$109,564
Participant contributions at beginning of year2012-03-31$98,420
Participant contributions at end of year2012-03-31$23,920
Participant contributions at beginning of year2012-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-03-31$55,180
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-03-31$0
Other income not declared elsewhere2012-03-31$0
Administrative expenses (other) incurred2012-03-31$0
Liabilities. Value of operating payables at beginning of year2012-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Value of net income/loss2012-03-31$842,672
Value of net assets at end of year (total assets less liabilities)2012-03-31$6,944,301
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$6,101,629
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2012-03-31$0
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2012-03-31$0
Investment advisory and management fees2012-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-03-31$4,527,165
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-03-31$4,108,067
Interest on participant loans2012-03-31$3,174
Income. Interest from loans (other than to participants)2012-03-31$0
Interest earned on other investments2012-03-31$62,376
Income. Interest from US Government securities2012-03-31$0
Income. Interest from corporate debt instruments2012-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-03-31$2,270,442
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-03-31$1,895,142
Expenses. Payments to insurance carriers foe the provision of benefits2012-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-03-31$94,464
Net investment gain/loss from pooled separate accounts2012-03-31$0
Net investment gain or loss from common/collective trusts2012-03-31$0
Net gain/loss from 103.12 investment entities2012-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31No
Was there a failure to transmit to the plan any participant contributions2012-03-31No
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$346,135
Employer contributions (assets) at end of year2012-03-31$13,210
Employer contributions (assets) at beginning of year2012-03-31$0
Income. Dividends from preferred stock2012-03-31$0
Income. Dividends from common stock2012-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$395,532
Contract administrator fees2012-03-31$12,255
Liabilities. Value of benefit claims payable at beginning of year2012-03-31$0
Did the plan have assets held for investment2012-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Aggregate proceeds on sale of assets2012-03-31$0
Aggregate carrying amount (costs) on sale of assets2012-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31Yes
Opinion of an independent qualified public accountant for this plan2012-03-31Disclaimer
Accountancy firm name2012-03-31HOFFMAN STEWART & SCHMIDT, PC
Accountancy firm EIN2012-03-31930743240
2011 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-03-31$0
Total unrealized appreciation/depreciation of assets2011-03-31$0
Total transfer of assets to this plan2011-03-31$0
Total transfer of assets from this plan2011-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$0
Total income from all sources (including contributions)2011-03-31$1,488,740
Total loss/gain on sale of assets2011-03-31$0
Total of all expenses incurred2011-03-31$266,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$251,514
Expenses. Certain deemed distributions of participant loans2011-03-31$0
Value of total corrective distributions2011-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$944,322
Value of total assets at end of year2011-03-31$6,101,629
Value of total assets at beginning of year2011-03-31$4,878,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$14,567
Total income from rents2011-03-31$0
Total interest from all sources2011-03-31$57,401
Total dividends received (eg from common stock, registered investment company shares)2011-03-31$73,708
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-03-31$73,708
Administrative expenses professional fees incurred2011-03-31$0
Was this plan covered by a fidelity bond2011-03-31No
Value of fidelity bond cover2011-03-31$0
If this is an individual account plan, was there a blackout period2011-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-03-31$0
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Amount of non-exempt transactions with any party-in-interest2011-03-31$0
Contributions received from participants2011-03-31$565,037
Participant contributions at end of year2011-03-31$98,420
Participant contributions at beginning of year2011-03-31$136,480
Participant contributions at end of year2011-03-31$0
Participant contributions at beginning of year2011-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-03-31$39,009
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-03-31$0
Other income not declared elsewhere2011-03-31$-3,012
Administrative expenses (other) incurred2011-03-31$0
Liabilities. Value of operating payables at beginning of year2011-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$1,222,659
Value of net assets at end of year (total assets less liabilities)2011-03-31$6,101,629
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$4,878,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2011-03-31$0
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2011-03-31$0
Investment advisory and management fees2011-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-03-31$4,108,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-03-31$3,207,238
Interest on participant loans2011-03-31$6,127
Income. Interest from loans (other than to participants)2011-03-31$0
Interest earned on other investments2011-03-31$51,274
Income. Interest from US Government securities2011-03-31$0
Income. Interest from corporate debt instruments2011-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-03-31$1,895,142
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-03-31$1,535,252
Expenses. Payments to insurance carriers foe the provision of benefits2011-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-03-31$416,321
Net investment gain/loss from pooled separate accounts2011-03-31$0
Net investment gain or loss from common/collective trusts2011-03-31$0
Net gain/loss from 103.12 investment entities2011-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31No
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$340,276
Employer contributions (assets) at end of year2011-03-31$0
Employer contributions (assets) at beginning of year2011-03-31$0
Income. Dividends from preferred stock2011-03-31$0
Income. Dividends from common stock2011-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$251,514
Contract administrator fees2011-03-31$14,567
Liabilities. Value of benefit claims payable at beginning of year2011-03-31$0
Did the plan have assets held for investment2011-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Aggregate proceeds on sale of assets2011-03-31$0
Aggregate carrying amount (costs) on sale of assets2011-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31Yes
Opinion of an independent qualified public accountant for this plan2011-03-31Disclaimer
Accountancy firm name2011-03-31HOFFMAN STEWART & SCHMIDT, PC
Accountancy firm EIN2011-03-31930743240
2010 : VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-03-31$0

Form 5500 Responses for VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN

2022: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planYes
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2009: VIRGINIA GARCIA MEMORIAL HEALTH CENTER, INC. TAX SHELTERED ANNUITY PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedYes
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planYes
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number811496
Policy instance 1
Insurance contract or identification number811496
Number of Individuals Covered824
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number811496
Policy instance 1
Insurance contract or identification number811496
Number of Individuals Covered757
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number811496
Policy instance 1
Insurance contract or identification number811496
Number of Individuals Covered722
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number811496
Policy instance 1
Insurance contract or identification number811496
Number of Individuals Covered711
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number811496
Policy instance 1
Insurance contract or identification number811496
Number of Individuals Covered706
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number811496
Policy instance 2
Insurance contract or identification number811496
Number of Individuals Covered690
Insurance policy start date2017-05-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered0
Insurance policy start date2017-04-01
Insurance policy end date2018-02-22
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered473
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered444
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered386
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered345
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered351
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered324
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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